Provider Demographics
NPI:1144220997
Name:TRUE, WAYNE STEWART (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:STEWART
Last Name:TRUE
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:8881 FLETCHER PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-3514
Mailing Address - Country:US
Mailing Address - Phone:858-499-2600
Mailing Address - Fax:619-462-9625
Practice Address - Street 1:8881 FLETCHER PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3514
Practice Address - Country:US
Practice Address - Phone:858-499-2600
Practice Address - Fax:619-462-9625
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG62330207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG62330OtherSTATE LICENSE
CADEAOtherAT1905150
CAC02999Medicare UPIN